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ICD-10 Guide
ICD-10 CodesR48.2

R48.2

Apraxia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R48.2 is a billable code used to indicate a diagnosis of apraxia.

Key Diagnostic Point:

Apraxia is a neurological disorder characterized by the inability to perform purposeful movements or gestures despite having the physical ability and desire to do so. This condition arises from damage to the brain areas responsible for planning and executing motor functions, often linked to conditions such as stroke, traumatic brain injury, or neurodegenerative diseases. Patients may exhibit difficulty in performing tasks such as dressing, eating, or speaking, even though they understand the task and have the physical capability to execute it. Symptoms can vary widely, including difficulty with fine motor skills, inability to imitate gestures, and challenges in coordinating movements. Apraxia can be classified into several types, including ideomotor apraxia, where patients struggle to carry out motor commands, and ideational apraxia, where they cannot sequence actions to achieve a goal. The diagnosis is primarily clinical, supported by neurological examinations and imaging studies to identify underlying causes. Understanding the specific type of apraxia is crucial for effective treatment and rehabilitation planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (e.g., stroke, dementia)
  • Differentiation from other neurological disorders
  • Need for detailed clinical documentation
  • Variability in presentation among patients

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Misclassification with other neurological disorders
  • Failure to specify the type of apraxia
  • Lack of supporting clinical evidence

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, neurological examination findings, and any imaging results.

Common Clinical Scenarios

Patients presenting with sudden onset of motor difficulties post-stroke.

Billing Considerations

Ensure to document the specific tasks the patient struggles with to support the diagnosis.

Emergency Medicine

Documentation Requirements

Acute assessment findings, including neurological status and any imaging performed.

Common Clinical Scenarios

Acute presentations of apraxia following head trauma or stroke.

Billing Considerations

Rapid assessment and documentation are crucial for appropriate coding and treatment.

Coding Guidelines

Inclusion Criteria

Use R48.2 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the diagnosis is supported by clinical documentation and that the specific type of apraxia is noted when applicable

Exclusion Criteria

Do NOT use R48.2 When
No specific exclusions found.

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used in conjunction with apraxia treatment to improve motor function.

Documentation Requirements

Document the specific exercises performed and the patient's response.

Specialty Considerations

Physical therapy may be involved in rehabilitation for apraxia.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of apraxia, improving the ability to capture the nuances of this condition and its underlying causes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of apraxia, improving the ability to capture the nuances of this condition and its underlying causes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of apraxia, improving the ability to capture the nuances of this condition and its underlying causes.

Resources

Clinical References

  • •
    American Academy of Neurology

Coding & Billing References

  • •
    American Academy of Neurology

Frequently Asked Questions

What is the difference between apraxia and aphasia?

Apraxia is a motor planning disorder affecting the ability to perform tasks, while aphasia is a language disorder affecting communication abilities. Both can occur together but are distinct conditions.